Healthcare Provider Details

I. General information

NPI: 1679455562
Provider Name (Legal Business Name): GLORIA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 NC HIGHWAY 150 E
BROWNS SUMMIT NC
27214-9719
US

IV. Provider business mailing address

4901 NC HIGHWAY 150 E
BROWNS SUMMIT NC
27214-9719
US

V. Phone/Fax

Practice location:
  • Phone: 336-656-9905
  • Fax:
Mailing address:
  • Phone: 336-656-9905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number346015
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024588
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: